| Mrs Carolyn Suzanne Johansen, RD, CDE, CD | |
|
20 S Main St, Barre, VT 05641-4826 | |
| (802) 476-7607 | |
| (802) 244-4122 |
| Full Name | Mrs Carolyn Suzanne Johansen |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 20 S Main St, Barre, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578607099 | NPI | - | NPPES |
| 1007165 | Medicaid | VT | |
| 47689 | Other | VT | MVP NUMBER |
| 28597 | Other | VT | BLUE CROSS BLUE SHIELD NU |
| GREE 29429 | Other | VT | BCBS GREEN MT NUTRITRION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 074-0000070 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carolyn Suzanne Johansen, RD, CDE, CD 19 Windridge Ln, Waterbury, VT 05676-9135 Ph: (802) 244-4122 | Mrs Carolyn Suzanne Johansen, RD, CDE, CD 20 S Main St, Barre, VT 05641-4826 Ph: (802) 476-7607 |
Mary Ann Klimas, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 130 Fisher Rd, Central Vermont Medical Center, Barre, VT 05641 Phone: 802-371-4150 | |
Ms. Ashley Turner, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 246 Granger Rd Ste 2, Barre, VT 05641 Phone: 802-225-5810 | |
Green Mountain Nutrition Associates Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20 S Main St, Barre, VT 05641 Phone: 802-476-7607 |